The Effect of Sandplay Therapy Combined with Methylphenidate in the Treatment of Attention Deficit Hyperactivity Disorder and Its Influence on Psychological State and EEG θ/β Ratio
Objective:To analyze the clinical application value of sandplay therapy combined with methylphenidate in the treat-ment of attention deficit hyperactivity disorder(ADHD).Methods:A total of 70 children with ADHD admitted to our hospital from Au-gust 2021 to August 2023 were randomly divided into control group and observation group,with 35 cases in each group.The control group was treated with methylphenidate,and the observation group was combined with sandplay therapy on the basis of the control group.The clinical therapeutic effects of the two groups were observed.Before and after treatment,the Chinese version of the attention deficit hyperactivity disorder SNAP-Ⅳ rating scale(SNAP-Ⅳ)was used to evaluate the clinical symptoms of the two groups.The chil-dren's depression self-rating scale(DSRSC)and the children's anxiety emotional disorder self-rating scale(SCARED)were used to eval-uate the psychological state.The EEG biofeedback therapy instrument was used to record the θ wave and β wave,and the θ/β ratio of EEG was calculated.Results:The total effective rate of the observation group(97.14％)was higher than that of the control group(82.86％)(P＜0.05).The scores of inattention,hyperactivity/impulsivity and oppositional defiance in the observation group were lower than those in the control group after treatment(P＜0.05).The scores of DSRSC and SCARED in the observation group were significantly lower than those in the control group after treatment(P＜0.05).After 2,6 and 12 weeks of treatment,the θ/β ratio of EEG in the observation group was lower than that in the control group(P＜0.05).Conclusion:Methylphenidate combined with sandplay therapy in the treatment of AD-HD can effectively improve its clinical symptoms and brain wave waveform,and can also alleviate its psychological state,which is con-ducive to further improving the clinical treatment effect of children.
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